1. A framework for understanding and targeting residual disease in oncogene-driven solid cancers
- Author
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Bivona, Trever G. and Doebele, Robert C.
- Subjects
Care and treatment ,Innovations ,Genetic aspects ,Properties ,Oncogenes -- Properties ,Cancer -- Genetic aspects -- Care and treatment ,Molecular targeted therapy -- Innovations - Abstract
We live in an unprecedented era of precision medicine in which many advanced-stage solid cancers respond profoundly to therapies targeted to a specific molecular alteration that drives tumor growth (1-6). [...], Molecular targeted therapy has the potential to dramatically improve survival in patients with cancer. However, complete and durable responses to targeted therapy are rare in individuals with advanced-stage solid cancers. Even the most effective targeted therapies generally do not induce a complete tumor response, resulting in residual disease and tumor progression that limits patient survival. We discuss the emerging need to more fully understand the molecular basis of residual disease as a prelude to designing therapeutic strategies to minimize or eliminate residual disease so that we can move from temporary to chronic control of disease, or a cure, for patients with advanced-stage solid cancers. Ultimately, we propose a shift from the current reactive paradigm of analyzing and treating acquired drug resistance to a pre-emptive paradigm of defining the mechanisms that result in residual disease, to target and limit this disease reservoir.
- Published
- 2016
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